AMX-4+ OPERATION

GE Healthcare

Technical
Publications
Direction 2166913-1EN
Revision 15

AMX-4+ Operation
(Model 2169360, 2236420 & 2275938
Series)
0459

© 2012 General Electric Company. All rights reserved.

Operating Documentation
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GE Healthcare
REV 15
FRONT MATTER
Direction 2166913-1EN
Revision 15
AMX-4+ Operation
(Model 2169360, 2236420 & 2275938 Series)
IMPORTANT! . . . X-RAY PROTECTION
X-ray equipment if not properly
used may cause injury. Accordingly,
the instructions herein contained
should be thoroughly read and
understood by everyone who will
use the equipment before you
attempt to place this equipment in
operation. The General Electric
Company, Medical Systems Group,
will be glad to assist and cooperate
in placing this equipment in use.
Although this apparatus incorporates a
high degree of protection against
x-radiation other than the useful beam,
no practical design of equipment can
provide complete protection. Nor can
any practical design compel the
(MODEL 2169360, 2236420 & 2275938 SERIES)
operator to take adequate precautions
to prevent the possibility of any persons
carelessly exposing themselves or
others to radiation.
It is important that everyone having
anything to do with x-radiation be
properly trained and fully acquainted
with the recommendations of the
National Council on Radiation
Protection and Measurements as
published in NCRP Reports available
from NCRP Publications, 7910
Woodmont Avenue, Room 1016,
Bethesda, Maryland 20814, and of the
International Commission on Radiation
Protection, and take adequate steps to
protect against injury.
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The equipment is sold with the
understanding that the General Electric
Company, Medical Systems Group, its
agents, and representatives have no
responsibility for injury or damage
which may result from improper use of
the equipment.
Various protective material and devices
are available. It is urged that such
materials or devices be used.
CAUTION: United States Federal law
restricts this device to use by or on the
order of a physician.
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If you have any comments, suggestions or corrections to the information in this document, please
write them down, include the document title and document number, and send them to:
GENERAL ELECTRIC COMPANY MEDICAL SYSTEMS
MANAGER - INFORMATION INTEGRATION,
AMERICAS W-622
P.O. BOX 414
MILWAUKEE, WI 53201-0414

CERTIFIED ELECTRICAL CONTRACTOR STATEMENT

All electrical installations that are
preliminary to positioning of the
equipment at the site prepared for the
equipment shall be performed by
licensed electrical contractors. In
addition, electrical feeds into the
Power Distribution Unit shall be
performed by licensed electrical
contractors. Other connections
between pieces of electrical
equipment, calibrations, and testing
shall be performed by qualified GE
Medical personnel. The products
involved (and the accompanying
electrical installations) are highly
sophisticated, and special engineering
competence is required. In performing
all electrical work on these products,
GE will use its own specially trained
field engineers. All of GE's electrical
work on these products will comply
with the requirements of the
applicable electrical codes.
The purchaser of GE equipment shall
only utilize qualified personnel (i.e.,
GE's field engineers, personnel of
third-party service companies with
equivalent training, or licensed
electricians) to perform electrical
servicing on the equipment.

DAMAGE IN TRANSPORTATION
All packages should be closely
examined at time of delivery. If
damage is apparent, have notation
“damage in shipment” written on all
copies of the freight or express bill
before delivery is accepted or “signed
for” by a General Electric
representative or a hospital receiving
agent. Whether noted or concealed,
damage MUST be reported to the
carrier immediately upon discovery,
or in any event, within 14 days after
receipt, and the contents and
containers held for inspection by the
carrier. A transportation company will
not pay a claim for damage if an
inspection is not requested within this
14 day period.
Call Traffic and Transportation,
Milwaukee, WI (414) 827-3449/
8*285-3449 immediately after
damage is found. At this time be ready
to supply name of carrier, delivery
date, consignee name, freight or
express bill number, item damaged
and extent of damage.
Complete instructions regarding claim
procedure are found in Section “S” of
the Policy & Procedure Bulletins.

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6/17/94

REGULATORY REQUIREMENTS
This product conforms with the requirements of Council Directive 93/42/EEC concerning med-
ical devices when it bears the following CE marking of conformity:

Note: This equipment generates, uses, and can radiate radio frequency energy. The
equipment may cause radio frequency interference to other medical and non-medical
devices and radio communications. To provide reasonable protection against such
interference, the AMX4+ Mobile X-Ray Unit complies with emissions limits for a Group
1, Class A Medical Devices as stated in EN 60601-1-2.

However, there is no guarantee that interference will not occur in a particular

installation. If this equipment is found to cause interference (which may be determined
by switching the equipment on and off), the user (or qualified service personnel) should
attempt to correct the problem by one or more of the following measure(s):

• Reorient or relocate the affected device(s).

• Increase the separating space between the equipment and the affected device.
• Power the equipment from a source different from that of the affected device.
• Consult the point of purchase or service representative for further suggestions.
The manufacturer is not responsible for any interference caused either by the use of
interconnect cables other than those recommended, or by unauthorized changes or
modifications to this equipment. Unauthorized changes or modifications could void the user's
authority to operate the equipment.
To comply with the regulations applicable to an electromagnetic interface for a Group 1, Class
A Medical Device, all interconnect cables to peripheral devices must be shielded and properly
grounded. Use of cables not properly shielded and grounded may result in the equipment
causing radio frequency interference in violation of the European Union Medical Device
directive and FCC regulations.

Setting for Mobile AID

Under certain Electro Static Discharge (ESD) conditions, the optional Automatic Exposure Con-
trol for the AMX 4+ may self-modify its settings. The operator will need to adjust the settings
to their original condition. If the problem cannot be corrected, please call service.

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Medical Device Directive

This product complies with the following requirements:
Council Directive 93/42/EEC concerning medical devices when it bears the following CE marking of conformity:

The location of the CE mark label on the equipment is in the service system manual.
European registered place of business:

GE Medical Systems SCS

Quality Assurance Manager
283 rue de la Minière
78530 BUC France

Green QSD 1990 Standard issued by MDD (Medical Devices Directorate, Department of Health, UK).
Medical Device Good Manufacturing Practice Manual issued by the FDA (Food and Drug Administration, Depart-
ment of Health, USA).
Underwriters' Laboratories, Inc. (UL), an independent testing laboratory.
Canadian Standards Association (CSA).
International Electrotechnical Commission (IEC), international standards organization, when applicable.

GE Healthcare reserves the right to make changes in specifications and features shown herein, or discontinue
the product described at any time without notice or obligation.
The original language of this manual is English.

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Technical Manual Updates

When operating or servicing GE Healthcare products, please contact your GE representative for the latest revi-
sion of product documentation. Product documentation may also be available on-line at the GE Healthcare sup-
port documentation library.

Contact Information
Manufactured by:
GE Medical Systems, LLC (GE Healthcare)

United States address:

GE Medical Systems, LLC (GE Healthcare)
3000 N Grandview Ave
Waukesha WI 53188 USA

Phone number:
United States: 262-544-3011
International: +1-262-544-3011

Web address:
www.gehealthcare.com

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REVISION HISTORY
REV DATE REASON FOR CHANGE
0 Dec. 13, 1996 Initial release.
1 Aug. 22, 1997 Changed Periodic Maintenance Schedule to yearly for all checks.
2 Dec. 1, 1998 Added CE regulatory requirements.
3 Apr. 5, 1999 Added Warning in Section 4.
4 Apr. 12, 1999 Added AMX4+ model 2236420.
5 May 6, 1999 Added yoke mounting screws tighten and replace requirements to Table 7-1. Add model
numbers to charging specs in section 6.
6 July 14, 1999 Removed “yoke mounting screws tighten and replace requirements” from Table7-1.
7 Feb. 29, 2000 Updated first periodic maintenance visit from 12 months to 13 months after installation to
agree with Information Service Letter.
8 Mar. 27, 2002 Added section 10, Options.
9 Sept. 17, Added circuit breaker notes to section 7. Added new model numbers. Added caution to
2003 section 2.
10 June 24, Added WEEE symbol definition.
2005
11 May 5, 2008 Created new part number to comply with new international standard. Incremented all
operator manuals to the same revision.
12 May 5, 2008 Created new part number to comply with new international standard. Incremented all
operator manuals to the same revision.
13 Sept. 7, 2010 Added Section 11, Environmental Conditions
14 Feb. 9, 2011 Added Manufactured By statement
15 Sept. 1, 2012 Revised cleaning instructions. Refer to CAPA 5970812.
Revised Periodic Maintenance Schedule for hand switch replacement. Refer to CAPA
5970812.
Added text to front matter on how to obtain most recent revisions of technical manuals.
Related to resolution of CAPA 5970812.

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TABLE OF CONTENTS

TABLE OF CONTENTS

SECTION TITLE PAGE

1 BEFORE YOU BEGIN.....................................................................................................................................1-1
1-1 Available Options ........................................................................................................................................1-2
1-2 How to Use This Book ...............................................................................................................................1-2

2 SAFETY FIRST..................................................................................................................................................2-1
2-1 Good Operating Practices .......................................................................................................................2-1

3 OPERATING CONTROLS .............................................................................................................................3-1

3-1 Turning the AMX-4+ On ............................................................................................................................3-3

4 DRIVING THE AMX-4+.................................................................................................................................4-1

5 X-RAY PROCEDURE......................................................................................................................................5-1
5-1 Mechanical Setup .......................................................................................................................................5-1
5-2 Latch Lock Release .....................................................................................................................................5-1
5-3 Adjustment of Column and Telescoping Arm ................................................................................5-2
5-4 Tube Unit Rotation ......................................................................................................................................5-3
5-5 Adjustment of Collimator ........................................................................................................................5-4
5-6 Technique Selection ...................................................................................................................................5-8
5-7 Taking Exposures .....................................................................................................................................5-10

6 CHARGING THE BATTERIES/CAPACITY GAUGE OPERATION......................................................6-1

6-1 Application Tip ..............................................................................................................................................6-4

7 MAINTENANCE AND SERVICE .................................................................................................................7-1

7-1 Cleaning the Unit .........................................................................................................................................7-1
7-2 Hand Switch Cleaning and Disinfecting Instructions .................................................................7-1
7-3 Main Power Circuit Breaker ....................................................................................................................7-2
7-4 Periodic Maintenance by Service Personnel ..................................................................................7-2
7-5 Qualified Service Available .....................................................................................................................7-2

8 MESSAGES ON DISPLAY.............................................................................................................................8-1

9 SYMBOLS..........................................................................................................................................................9-1
9-1 IEC Classification .........................................................................................................................................9-1
9-2 Earth Leakage Current .............................................................................................................................9-1
9-3 Applicable IEC Symbols ............................................................................................................................9-1

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SECTION TITLE PAGE

10 OPTIONS ........................................................................................................................................................ 10-1
10-1 Dose Area Product (DAP) Meter .........................................................................................................10-1
10-2 Mobil-AIDTM Automatic Exposure Control (AEC) .......................................................................10-1
10-3 Remote Control Handswitch ..............................................................................................................10-1

11 ENVIRONMENTAL CONDITIONS .......................................................................................................... 11-1

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SECTION 1
BEFORE YOU BEGIN
The instructions in this operation manual are for use with the AMX-4+ Mobile X-ray
Unit,
Models 2169360 2169360-2 2169360-3 2169360-4
2169360-5 2169360-6 2169360-7 2169360-8
2169360-9 2169360-10 2169360-11 2169360-12
2169360-13 2169360-14 2169360-15 2169360-16
Models 2236420 2236420-2 2236420-3 2236420-4
2236420-5 2236420-6 2236420-7 2236420-8
2236420-9 2236420-10
Models 2275938 2275938-2 2275938-3 2275938-4
2275938-5 2275938-6 2275938-7 2275938-8
2275938-9 2275938-10 2275938-12 2275938-13
2275938-14 2275938-15 2275938-16 2275938-17
Your AMX-4+ is designed for ease of operation and years of reliable service. Each
time you push a button, you can depend on the same consistent radiographic
quality - quality comparable to radiographs made in a full scale X-ray room.
ILLUSTRATION 1-1

Since the AMX-4+ is battery operated, there's no need to plug in your mobile X-ray
unit before taking exposures. Battery operation makes the AMX-4+ easily adapted
to operating, intensive care, and emergency room applications.
Because of a dual-motor drive, driving and positioning the AMX-4+ requires a
minimum of effort. And the control panel's cut-away design permits optimum
visibility for steering down crowded corridors.
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The self-stopping bumper, one of many built-in safety devices, helps prevent
unwanted mobility - the motors stop and the brakes activate upon impact with
another object.
Operator controls are microprocessor based, combining the latest technology
with simplicity of design.
The control panel includes three illuminated displays: a kVp and mAs display to
reflect the technique selected, a battery display for at-a-glance battery status,
and a message display to provide helpful information on the operating status of
the AMX-4+ .

1-1 Available Options

Mobil-Aid Automatic Exposure Control.
For operating instructions, refer to Mobil-Aid Owner's Manual, Number 69198.

1-2 How to Use This Book

Most sections of your operator manual (see Contents) are organized using two
headings:
1. Overview, and
2 Steps

Overview
Overview, as the name implies, presents general information on a particular
operation. Introductory in nature, the overview is intended to help give you an
overall understanding of a procedure or capability, quickly and easily.
The word overview is flagged in bold text, like this ...
Overview
and appears in the left margin of the page.

Steps
For specific, detailed information in step-by-step sequence, you'll refer to the
actual procedure. In this manual, we refer to procedures as steps.
The word steps is flagged in bold text, like this ...
Steps
and also appears in the left margin of the page.
Steps are listed numerically. Any supplemental information (that is, additional
information you should know, but information that isn't really necessary to
perform the procedure) is listed under the step in a bulleted  format.
• supplemental information is placed next to a bullet
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We think you'll find the AMX-4+ portable design performs so easily that it seems
to nearly run itself.
To promote optimum operation of this or any radiographic equipment, however,
be sure to read your operator's manual carefully.
And, when not in use, store your manual in the cassette tray so that all new users
can easily refer to it when needed.

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SECTION 2
SAFETY FIRST
This equipment is to be used by authorized medical personnel only.
Your AMX-4+ is engineered for years of reliable service. To promote optimum
safety, be sure to read this manual carefully, before operating the unit.
Keep the manual with the equipment at all times. When not in use, store it in the
AMX-4+ cassette tray.
Always be alert to safety when you operate this equipment. You must be
familiar enough with the equipment to recognize any malfunctions that can
CAUTION
be a hazard. If a malfunction occurs or a safety problem is known to exist,
isolate the unit to avoid unauthorized operation, and do not use this
equipment until qualified personnel correct the problem.

WARNING THIS X-RAY UNIT MAY BE DANGEROUS TO PATIENT AND OPERATOR UNLESS CORRECT
EXPOSURE FACTORS AND OPERATING INSTRUCTIONS ARE OBSERVED.

WARNING ALWAYS PROVIDE NECESSARY RADIATION PROTECTION FOR YOUR PATIENT AND
YOURSELF WHEN OPERATING ANY X-RAY SYSTEM.

2-1 Good Operating Practices

• Wear a lead apron while performing an X-ray exam.
• Step back at least 6 feet (1.8 meters) from the tube or to the full extension of
the handswitch cord before making an exposure.
• Always use the proper field sizes and technic factors for each procedure to
minimize X-ray exposure and produce the best diagnostic results.
• Check the digital display carefully before making an exposure: verify that the
selected technique is the intended technique. Pay particular attention to the
placement of the decimal point in the mAs setting to insure that whole
numbers are not mistaken for an intended mAs fractional number.
• When X-raying bed patients, move them as far as possible from nearby
patients.
• Ask visitors to step outside the room during an exposure.
• Use gonadal shields for patients whenever possible.
• Be sure to read and follow the maintenance schedule outlined in the
Maintenance and Service section of this manual.
• Under most conditions, cumulative radiation dose to the operator will not
exceed recommended maximum permissible levels. However, as with all
radiation-producing devices, a qualified radiation expert should evaluate
situations involving frequent exposures using high kVp and mAs technics to
determine if extra protective devices are necessary.

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While driving the AMX-4+, keep the film bin closed. A loaded bin may close
CAUTION without warning possibly causing injury.

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SECTION 3
OPERATING CONTROLS
ILLUSTRATION 3-1
AMX-4+ MOBILE X-RAY UNIT (RIGHT REAR VIEW)

TELESCOPING ARM
Retractable arm supports
collimator and X-ray tube.
TAPE MEASURE
VERTICAL COLUMN
Supports telescoping arm.

CONTROL PANEL
Contains most operator controls and
all displays.

DRIVE HANDLE SKIN SPACER

Grip to activate drive BARS
motors. COLLIMATOR
Adjusts easily.
Calibrated in inches
BRAKE RELEASE or cm.
Releases brakes if drive
motors fail.
SELF-STOPPING BUMPER
Stops drive motors and activates
brakes on impact.

HANDSWITCH
FILM BIN Controls exposures and automatical-
Provides convenient storage ly timed field light.
for ten 14" x 17" cassettes.

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ILLUSTRATION 3-2
AMX-4+ OPERATOR CONSOLE

KEY SWITCH
Turn ON to drive the unit or take
exposures. Turn OFF to remove key.
Recharge in ON or OFF positions.
NOTE: Top of cap key when
in OFF position.
LATCH
Secure the vertical column
in the park / transport position.

KVP AND MAS DISPLAY

PENCIL TRAY Displays kVp and mAs selections.

MESSAGE DISPLAY
X-RAY EXPOSURE INDICATORS Displays status and
Light up when exposure is made. error messages.

KVP AND MAS CONTROLS

BATTERY STATUS DISPLAY Press the up or down kVp/mAs
Shows relative state of charge. triangle to select the correct
At or near full charge, all segments are illumi- exposure setting.
nated.

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3-1 Turning the AMX-4+ On

Steps
Be sure to refer to Maintenance and Service in this manual for important
information on the circuit breaker.
1. Turn the keyswitch to the ON position.
ILLUSTRATION 3-3
KEYSWITCH

Keyswitch in
ON position.

• The unit performs diagnostics (self-tests to make sure everything is working

correctly). This process takes a few seconds.

TESTING COMPLETE

2 When the technique and battery status displays light up, the unit is ready for
operation. TESTING COMPLETE will also briefly appear on the message display.
3 If TEST -- XX FAILED is displayed, turn the unit OFF then ON again. If TEST -- XX
FAILED displays again, write down the alphanumeric code (XX represents the
code) and contact your service representative.

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SECTION 4
DRIVING THE AMX-4+

Overview
A compact design and dual motor assembly makes driving and maneuvering the
AMX-4+ an easy process.
If moving down hallways or just traveling from one room to another, you'll first
make sure the telescoping arm is properly positioned and securely latched so
maximum speed can be reached.
Then simply grip the drive handle and steer the unit to your destination. (See
Illustration 4-1.)
MOVEMENT OF THE AMX-4+ X-RAY UNIT COULD CAUSE THE HORIZONTAL ARM
TO SLIDE AND STRIKE AN OPERATOR OR PATIENT IF NOT LATCHED PROPERLY.
WARNING LATCH TELESCOPING ARM PROPERLY BEFORE MOVING THE UNIT.
DO NOT DRIVE OR POSITION THE AMX-4+ UNIT UNLESS STANDING DIRECTLY
BEHIND IT (SEE ILLUSTRATION 4-1). FAILURE TO DO THIS MAY RESULT IN LOSS
WARNING
OF CONTROL CAUSING SERIOUS INJURY AND EQUIPMENT DAMAGE.
ILLUSTRATION 4-1
DRIVE HANDLE

GRIP THE DRIVE HANDLE

TO ACTIVATE THE MOTORS....
RELEASE YOUR GRIP TO
STOP THE UNIT.

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The drive automatically adjusts to your pace, and can be pushed forward, turned
or pulled in reverse at speeds of up to 3 mph (4.8 km per hour).
A self-stopping bumper at the front of the unit automatically activates the brakes
and turns off the drive motors upon impact, to help prevent accidents. If the
bumper is engaged, simply grip the drive handle and pull the unit in reverse. (As
with any mobile equipment, however, when driving the unit be sure to exercise
reasonable care.)
With the telescoping arm extended for a patient exam, the AMX-4+ pivots on the
spot, rotating and maneuvering easily for exact positioning. Again, grip the drive
handle and turn the unit to the desired position.
AMX-4+ maneuvering speed is automatically reduced by 50 percent when the
telescoping arm is extended.
ILLUSTRATION 4-2
ARM EXTENDED

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Steps
To drive the AMX-4+, follow these steps:
1. Make sure that the telescoping arm is in the park/transport position and that
the battery charging cord is unplugged and fully retracted.
• In the park/transport position the telescoping arm is:
a.)completely pushed in;
b.)centered over the control panel (collimator skin spacers within well); and
c.)securely latched. See Illustration 4-3.
ILLUSTRATION 4-3
PARK/TRANSPORT POSITION

2 Turn the keyswitch to ON, if necessary.

OFF

ON

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3 Grip the drive handle to activate the motors and disengage the brakes. Now
simply steer the unit, like a shopping cart, to your destination.
• When climbing inclines or moving over carpeting or other rough surfaces
the drive motors will automatically adjust to the floor surface.
• When descending inclines or pushing the AMX-4+ to make it go faster, it
may stop and display the message RELEASE HANDLE. If this happens,
release the handle to clear the message and then continue with normal
operation.
4 To stop the unit and activate the brakes, release your grip on the drive handle.
Remember that the self-stopping bumper, upon impact, will turn off the drive
motors and activate the brakes.
• To reverse the unit, grip the drive handle and pull backwards. If the
self-stopping bumper is engaged, after a brief pause reverse the unit.
• To turn a sharp corner or rotate the unit, push one side of the drive handle
(to the right or left) and pull on the other. The unit will turn or pivot easily.

If the motors fail press

this button and manually
relocate the unit.

5 If the drive motors should fail, press and hold the BRAKE RELEASE button,
located just below the DRIVE HANDLE on the left bracket. Manually relocate
the unit, and call service.

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SECTION 5
X-RAY PROCEDURE
Overview
In this section you'll learn how to setup and position mechanical components of
the AMX-4+. Steps for mechanical positioning are organized in the following way.
• Adjustment of column and telescoping arm
• Rotation of X-ray tube unit, and
• Adjustment of collimator
You'll also learn how to select patient parameters (technique selection) and, finally,
how to take an X-ray exposure.

5-1 Mechanical Setup

Steps
Follow these steps to release the latch, vertical column and telescoping arm locks
from the park/transport position.
Make sure that the unit is turned ON.

5-2 Latch Lock Release

1. Grip the collimator handles to activate the switch. (You should hear a clicking
sound.) With slight force, push the telescoping arm down to release latch and
then raise up.
• Note that you only need to grip one of the collimator handles to activate the
lock release system. See Illustration 5-1.
ILLUSTRATION 5-1
LOCK RELEASE MECHANISM

TO RELEASE THE LOCKS,

GRIP BOTH THE COLLIMATOR
HANDLES, OR JUST ONE
HANDLE.

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5-3 Adjustment of Column and Telescoping Arm

In the following steps you can free the AMX-4+ components for positioning in one
of two ways: by gripping the collimator handle(s) to keep the lock system released
or, whenever necessary, overriding the lock system with slight force.
When possible, we recommend that you use the lock release system.
1. Rotate the arm and vertical column assembly to horizontally position the
telescoping arm. The vertical column can be rotated 270 degrees clockwise or
counterclockwise (detent at 0 degree park location). See Illustration 5-2.
2 Raise the arm on the vertical column to the desired height.
3 Extend the retractable arm to the desired length and release. See Illustration
5-2.
ILLUSTRATION 5-2 I

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5-4 Tube Unit Rotation

Because the tube assembly is counterbalanced, no active lock is required. And little
effort is needed to override friction and rotate the tube.
1. Use the collimator handles to position the tube to the desired angle.
• You may rotate the tube in two directions:
a.) clockwise and counterclockwise +180 degrees (detents at every
90 degrees), or
b.) backwards -10 degrees and forwards +100 degrees (detent at
0 degree). See Illustration 5-3.
ILLUSTRATION 5-3
TUBE ROTATION

COLLIMATOR
ROTATION
TUBE UNIT
KNOB
RETRACTABLE
ARM

110
(FORWARD) 0
DETENT
...extend the arm and
rotate the tube to the
-10 desired angle.
(BACKWARD)

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5-5 Adjustment of Collimator

The AMX-4+ manual collimator limits patient radiation exposure to a desired area
at a given distance from the X-ray tube focal spot.
1. Press the field light button (on either the collimator face or handswitch) to
activate the high-intensity field lamp. See Illustration 5-4.
• The field light is timed and automatically turns off 30 seconds after you re-
lease the switch. To adjust the field light timer, contact your service represen-
tative.
• To activate the field light for another 30 seconds, press the button again
when the light goes out. (You may keep the field light on for up to 4 minutes.
After 4 minutes, the field light will turn off for cooling and remain inactive for
5 minutes.)
ILLUSTRATION 5-4

X-RAY
PREP/EXPOSE
BUTTON FIELD-LIGHT
BUTTON

PRESS THE FIELD LIGHT BUTTON, AND COLLI-

MATE TO YOUR AREA OF INTEREST. THE
CROSSHAIR BEAM SHOWS THE FIELD CENTER.

....YOU MAY TAKE AN EXPOSURE WHILE THE

FIELD LIGHT IS ON; THE LIGHT WILL AUTOMAT-
ICALLY TURN OFF WHEN AN EXPOSURE IS
TAKEN.

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2 Position the collimator and tube using the field light and crosshair shadow as
guides. The crosshair shows the field center. For fine positioning of the
collimator, see Step 4.
• Use the tape measure on the side of the collimator to measure the SID
(source-to-image distance).
• Refer to the AMX-4+ Exposure Guide in the holder on the front of the column
for suggested SID and exposure techniques. See Illustration 5-5.
ILLUSTRATION 5-5 I

AMX-4+
EXPOSURE
GUIDE

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3 Collimate by adjusting the size of the field with the two control knobs located
on the front of the collimator. See Illustration 5-6.
• For fine positioning of the collimator, see Step 4
• The left knob controls the transverse dimension of the blades, and the right
blade knob controls the longitudinal dimension of the blades. (A diagram on
the face of the collimator shows which knob controls which dimension.) See
Illustration 5-6.
• Field sizes from 0x 0 inches up to 17x17 inches (43x43 cm) at a 40 inch
(102 cm) SID can be obtained. The knob selectors indicate the field size for a
selected SID.
• Dial numbers on the calibrated scale are for 40 inch/100 cm and 72 inch/180
cm scale SIDs.
ILLUSTRATION 5-6

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4 You may rotate the collimator about its vertical axis (that is, to the right or left)
in two ways: by a simple 90× detent method or by a manual lock method for
an angle other than 90×.
• 90-degree detent method: Pull out the knob (see Illustration 5-7) and rotate
the collimator to the desired 90× detent position. The detent will snap in place
and lock.
• Manual lock method: Pull out the knob, position the collimator to the desired
angle (other than 90× detent), and turn the knob clockwise to secure. (Turn
the knob counterclockwise to unlock the collimator and reposition.)

5 Continue with Technique Selection in Section 5-6.

ILLUSTRATION 5-7

COLLIMATOR
ROTATION
KNOB

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5-6 Technique Selection

Be sure to refer to the AMX-4+ Exposure Guide (found in the card holder attached
to the vertical column) for suggested techniques.
ILLUSTRATION 5-8

kVp mAs

... use these keys

... to rapidly scroll
on the control panel
through values, press
to select your para-
and hold the control
meters for a patient
key down.
exam.

Steps
1 If you'd like to increase the kVp, press the UP kVp arrow. To decrease the kVp
value, press the DOWN kVp arrow. See Illustration 5-8.
2 If you'd like to increase the mAs, press the UP mAs arrow. Press the DOWN
mAs arrow to decrease the value.
ILLUSTRATION 5-9
TECHNIQUE CONSOLE DISPLAY

... your selection 66 16

is shown on two
displays; the kVp/mAs
display, at the
top of the control kVp mAs
panel and the
message display,
kVp mAs
just above the
kVp/mAs keys.
kVp 66 mAs 16

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• Should you reach a maximum or minimum value, kVp / mAs MAX or kVp / mAs
MIN will briefly appear on the message display to alert you.

IMPORTANT!: Carefully check the digital display (see Illustration 5-9) before making an
exposure to ensure that the factors selected are those that are intended.
Pay particular attention to the placement of the decimal point in the mAs
setting to ensure that whole numbers are not mistaken for an intended
mAs fractional number.
• The kVp ranges from 50 to 125 kVp, in 24 steps:

50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70, 72, 74, 76, 80, 85, 90, 95, 100, 105, 110,
115, 120 and 125.
• The mAs ranges from 0.40 to 320 mAs, in 30 steps:

0.4, 0.5, 0.64, 0.8, 1, 1.25, 1.6, 2, 2.5, 3.2, 4, 5, 6.40, 8, 10, 12.5, 16, 20, 25, 32,
40, 50, 64, 80, 100, 125, 160, 200, 250 and 320. Refer to the chart below for
maximum technique ratings.
•
Maximum kVp and mAs Ratings

kVp mAs

110 to 125 200

95 to 105 250

50 to 90 320
• It's important to note that the kVp setting takes precedence over your mAs set-
ting. That is, if your technique would generate too much heat for the X-ray
tube anode, the mAs setting will automatically decrease to permit the select-
ed kVp.

For instance, if kVp is set at 110 then your maximum mAs will not exceed 200.
Note: The maximum allowable kVp and mAs ratings stated within this operation
manual and as allowed by the equipment, may appear to exceed the
tube ratings. (Reference Direction 46-017226, Tube Ratings HRT X-ray
Tube 50 & 60 Hz or 2236721-100, Product Data Sheet Maxiray 75 TH 11
X-ray Tube). The reason for this apparent discrepancy is that the tube rat-
ing charts in Direction 46-017226 or Product Data Sheet 2236721-100
are based upon a 25% heated tube assembly (75% heat units remaining),
while the actual maximum allowable kVp and mAs ratings are based
upon a cold tube assembly. The AMX-4+ generator contains a proprietary
heat loading algorithm which protects the tube assembly for all heat
loading conditions.

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5-7 Taking Exposures

Check the battery status and message displays for battery condition. It's
important to note that you do not have to raise your kVp or mAs value to
compensate for low battery voltage.

Steps
Once you've positioned patient and cassette, selected technique and the proper
safety precautions are taken, follow these steps.
1 Remove handswitch from saddle. Press the handswitch button half way to the
PREP position. Accelerating the rotor to proper speed takes about 2.5 seconds.

READY FOR X-RAY

• READY FOR X-RAY will appear on the message display.

Note: You may, if you wish, press the button all the way down to take an exposure.
The 2.5 second prep cycle is automatic. (If PREP/EXPOSE positions are
pressed simultaneously, READY FOR X-RAY will not display.)

2 Press the PREP/EXPOSE button all the way down to take an exposure. (An
audible tone will sound, and the X-RAY indicator will light up.)
• If an exposure isn't taken within 30 seconds of pressing PREP, release and re-
peat the prep cycle. (Release the PREP/EXPOSE button, and press to prep po-
sition again.)
• If the message WAIT appears, you may still take another exposure. Although,
because of insufficient recovery time, the selected technique may be inaccu-
rate. (Refer to Messages On Display in this manual for a complete description
of all X-ray messages.)
• HEAT WAIT displays when the tube anode is cooling. No exposures can be
taken while this message appears. (The length of the delay will vary with the
selected technique.) If an exposure is attempted while HEAT WAIT is active
X-RAY DISABLED will be displayed.
• The kVp/mAs Numeric Display will flash for about 6 seconds after the release
of the handswitch from the PREP position, if an exposure has occurred.

3 Secure the unit for transport when the exam is complete.

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SECTION 6
CHARGING THE BATTERIES/CAPACITY GAUGE OPERATION

Overview
Battery charging is as easy as driving the AMX-4+ to a correctly rated wall outlet
and plugging the unit in. Ratings are as follows:
• For Models 2169360-7,-8,-9,-10, 2236420-7,-8,-9,-10, 2275938-7,-8,-9,-10:
120 Volts AC, 60 Hz at 6A.
• ForModels 2169360, 2169360-2,-3,-4, 2236420, 2236420-2,-3,-4, 2275938,
2285938-2,-3,-4,-12,-13,-14,-15:
220/240 Volts AC, 50 Hz at 3.15A.
• For Models 2169360-5,-6, 2236420-5,-6, 2275938-5,-6:
100 Volts AC, 50/60 Hz at 6A.
The time required to fully recharge the AMX-4+ batteries will vary according to
battery charge level as indicated on the battery status display.
During recharge the AMX-4+ capacity gauge increases as the unit is charged. To
recharge from 10% to 100% typically requires 4-5 hours.
Occasionally the AMX-4+ automatically performs an extended charge to make
sure that all portions of the battery's internal plates get fully charged. This
extended charge occurs every twentieth time the battery is charged.
To recharge from 10% to 100% during an extended charge typically requires 10
hours. The AMX-4+ will continue to attempt extended charges until at least half of
the extended charge time is complete.
Note: The extended charge will be transparent to the operator. The only indica-
tion that it is in progress is the longer charge time.

Although portable application will vary site to site, under most operating
conditions, a fully charged AMX-4+ is designed to supply enough charge for a
typical 8-hour shift.
The AMX-4+ capacity gauge visually displays the remaining capacity using a 48
segment bargraph display.

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ILLUSTRATION 6-1

BATTERY
CHARGING
PLUG

TO CHARGE THE
BATTERY, SIMPLY PLUG
THE UNIT INTO ANY
CORRECTLY RATED WALL
OUTLET.

% Charge
AT OR NEAR FULL CHARGE, ALL
SEGMENTS ARE
ILLUMINATED.

The blue battery status display approximates remaining battery charge, and should
only be used to gather information as to the relative state of charge.
% Charge
WHEN BATTERY
CHARGE DIPS BELOW
APPROXIMATELY 10%, RE-
CHARGE IS
RECOMMENDED.

RECHARGE RECOMMENDED

As the AMX-4+ is used in its various modes of operation, the number of segments lit
will slowly decrease.
It's important to note that you do not have to raise your kVp and mAs value to
compensate for low battery voltage.
Should the battery charge dip below approximately 10% of full capacity, RECHARGE
RECOMMENDED will flash on the message display. (If all segments are extinguished,
the message RECHARGE IMMEDIATELY -- X-RAY INHIBITED displays.)
To ensure maximum battery life, the AMX-4+ should not be recharged until at least
one-half of the bar graph segments have extinguished.
Illustration 6-1 shows how much of the battery's capacity is used for the various
AMX-4+ operating modes on a relative basis.

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ILLUSTRATION 6-2

As Illustration 6-2 demonstrates, the majority of the battery pack's capacity is

used for drive and idle. Thus, reducing the amount of drive time by parking the
AMX-4+ in a central location and turning the system OFF when not in use will
make more capacity available for X-ray generation and will increase the service
life of the batteries.
Note: See the Ratings and Specification Section, 9-7 for more detail on how to-
tal AMX-4+ battery capacity is determined.

Bar Graph Display vs Battery Loading

Table 6-1 details the various battery loads and how they affect the bar graph
display.
TABLE 6-1

APPROXIMATE
LOAD MODE TYPICAL DAILY USAGE*
DISCHARGE RATE
Idle 0.04
6 segments
(AMX-4+ on but not in use) segments/minute
Drive 0.4
13 segments
(Drive handle engaged) segments/minute
Field Light 0.3
3 segments
(Any time light is ON) segments/minute
X-Ray Prep 0.4
1 segment
(PREP switch depressed) segments/minute
X-Ray 0.0005 to 0.8
0 segments
(High voltage generation) segments/exposure
TOTAL DAILY SEGMENTS TURNED OFF: 23 segments (48%)

* - Based on data from a number of actual AMX-4 sites.

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Capacity Gauge Features

“STUCK AT FULL” FEATURE

After the AMX-4+ charges to 100% (i.e. “CHARGE COMPLETE” ), the capacity gauge
will remain “stuck-at-full” for a pre-programmed amount of usage before the
number of lit segments begins to decrease. This usage is equivalent to
approximately 10 minutes of drive or 100 minutes of idle. Once this “stuck-at-full”
capacity is used, the capacity gauge will update according to Table 1.

EMERGENCY CAPACITY FEATURE

When the AMX-4+ capacity gauge drops to 0%, inhibiting X-ray exposures, it is
possible to access some emergency capacity to finish an exam by turning the
AMX-4+ off and then back on. After it has completed its power-up tests, the
AMX-4+ will provide enough capacity for approximately 45 seconds of usage
before X-ray exposures are again inhibited.
In some cases the AMX-4+ battery may not provide sufficient voltage for
CAUTION
proper operation when EMERGENCY CAPACITY is used. Therefore this feature
should only be used when absolutely necessary.

6-1 Application Tip

To insure the greatest reliability, you may decide to establish a battery charging schedule at your
particular site, based on past experience and anticipated needs.

Steps
Follow these steps to recharge the batteries.
When recharging the batteries, always locate the unit in a well ventilated
CAUTION
area.
1 Drive the AMX-4+ to a designated battery charging station or to a correctly
rated wall outlet. A rating plate is located on the front of the unit, above the
battery plug. (See Illustration 6-3.) Position the unit to within 10 feet of the
outlet.
2 To plug in, firmly grip the plug located on the front of the unit, and pull the
retractable cord straight out until it is fully extended. Set the cord by a slow
pull-release action. Plug into the battery charging station.

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ILLUSTRATION 6-3

RATING PLATE

BATTERY CHARGING
PLUG

CIRCUIT BREAKER

3 Check the message display to confirm the charging status: the message
CHARGING should appear on the display.

CHARGING

• During charging all other controls, driving and X-ray exposures, for instance,
are disabled. Note that you may charge the batteries with the KEYSWITCH in
either the ON or OFF position.
4 When CHARGE COMPLETE appears on the message display, and all blue
segments are illuminated, the batteries are fully charged (at 100% of capacity).
5 Unplug the unit from the outlet, giving the plug a slight tug to release from
take-up reel.
Important: After unplugging the unit, turn the unit on and wait approximately 15
minutes before taking your first exposure to ensure technique accuracy.

 You may leave the unit in the charge position indefinitely, if you wish, without
damaging the equipment.
 The prompt BATTERY TOO HIGH may display when the first exposure is
attempted after charging. If this occurs, run the rotor for 15 to 20 seconds
and then make the exposure. This prompt is caused by a normal battery
voltage rise after charging.

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SECTION 7
MAINTENANCE AND SERVICE

7-1 Cleaning the Unit

We recommend that you clean the AMX-4+ regularly with a soft cloth and a mild,
non-abrasive cleaner. Apply the cleaner to the cloth, not directly to the unit, to
safeguard against damage to the circuitry. If a corrosive chemical is spilled or
splashed on the unit surface, be sure to clean it off immediately.

7-2 Hand Switch Cleaning and Disinfecting Instructions

SAFETY PRECAUTIONS - Before you begin:

• Disconnect the hand switch cord from the body of the hand switch before
performing the maintenance/cleaning procedures.
• Never use solvents or flammable solutions to clean the hand switch.
• Never use dripping cloth (or) immerse hand switch in water or cleaning
solutions.

Approved Cleaners
The cleaners listed below are approved to clean the hand switch:
• Bleach 50% mix with water (5–8% household Bleach)
• Glutaraldehyde <5%, Polyethylene Glycol <20% (tested as Cidex Plus 28)
• Isopropyl Alcohol 70% concentration
• Hydrogen Peroxide 15–40% concentration

CAUTION: Never use cleaners or solvents of any kind if you are uncertain of the nature of
the cleaning agent. The hand switch should be cleaned using EPA cleared and
EPA registered high-level disinfecting agents.

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7-3 Main Power Circuit Breaker

The main power circuit breaker is located on the front right side of the unit. Refer
to Illustration 6-3.
If the battery charge is too low, or in the event of an overload in the high-voltage
system, the circuit breaker will trip (interrupt power to the X-ray unit).
Should the circuit breaker trip, the control panel lights will go out and you'll be
prevented from operating the unit. To resume operation, flip the circuit breaker up
to the ON position.If necessary, recharge the unit or (if the battery is adequately
charged) try the procedure again.
If the battery is within operating condition (as indicated by the battery status and
message displays) and power interruptions are frequent, there may be a fault in
the high voltage system. If a fault is indicated, have the unit checked by a qualified
service representative.
If the unit does not turn off when the keyswitch is turned off, isolate the unit to
prevent unauthorized operation, use the circuit breaker to remove power from the
unit, and have the unit checked by a qualified service representative.

7-4 Periodic Maintenance by Service Personnel

To insure the continued safe performance of your AMX-4+ portable X-ray unit,
establish a periodic maintenance program with a qualified service representative.
Periodic maintenance checks are required thirteen months after installation and
every year thereafter. A periodic maintenance schedule and a sample mAs/kVp
accuracy chart are provided on the following pages.

7-5 Qualified Service Available

GE Medical Systems, and its associates maintain a worldwide organization of
service personnel specially trained on medical X-ray equipment. Consult your GE
representative to find out more about all the available service programs.

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Table 7-1
PERIODIC MAINTENANCE SCHEDULE

Maintenance/Checks Frequency
Replace counterweight cable Every 5 years
Every year (Refer to Appendix 6 of 2173227-100,
Inspect counterweight cable
AMX-4+ Periodic Maintenance)
Replace hand switch Every 3 years
Every 12 months, verify that there is no movement
between the collimator and X-ray tube. If any
Verify no movement between collimator and movement is detected, you MUST remove the
tube unit collimator and inspect all related fasteners. Refer to
Direction 2173225-100, AMX-4+ Service for additional
information.
Every year (Refer to Section 3-3 in Direction
Extension arm inspection
2173224-100, AMX-4+ Functional Check)
Every year (Refer to Section 3-4 in Direction
Collimator general inspection and adjustment
2173224-100, AMX-4+ Functional Check)
Every year (Refer to Section 3-5, Direction 2173224-100,
Filament and rotor interlocks
AMX-4+ Functional Check)
Every year (Refer to Section 3-5, Direction 2173224-100,
X-ray tube anode rotation
AMX-4+ Functional Check)
Every year (Refer to Section 3-3 in Direction
Column and carriage assembly inspection
2173224-100, AMX-4+ Functional Checks)
Every year (Refer to Appendix 4, Direction 2173227-100,
mAs accuracy
AMX-4+ Periodic Maintenance)
Every year (Refer to “kVp Accuracy and Indirect
Linearity” (Test 3-3) in Tab 3 of Direction 46-013894,
kVp accuracy
System Field Test
for HHS)
Every year (Refer to “Generator Operator Indicators”
Operator displays (Test 3-1) in Tab 3 of Direction 46-013894, System Field
Test for HHS)
Every year (Refer to Appendix 3, Direction 2173227-100,
Cross hair
AMX-4+ Periodic Maintenance)
Every year (Refer to Appendix 3, Direction 2173227-100,
Collimator alignment
AMX-4+ Periodic Maintenance)

Equipment and Serial Number:

Date of Inspection: _
Maintenance Check Performed By:

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Maintenance/Checks Frequency
Every year (Refer to Appendix 3, Direction 2173227-100,
Field size indicator
AMX-4+ Periodic Maintenance)
Every year (Refer to Section 3-4, Direction 2173224-100,
Rotational detent
AMX-4+ Functional Check)
Exposure tone is audible and X-ray on
indicators light up when handswitch depressed Every year
to expose position
Auxiliary items (battery charger, HV cables, etc.) Every year

Equipment and Serial Number:

Date of Inspection: _
Maintenance Check Performed By:

Table 7-2
SAMPLE CHART FOR TECHNIQUE ACCURACY TESTS

Technique Selected
mAs kVp Primary Volts kVp Time (Sec.)

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SECTION 8
MESSAGES ON DISPLAY
Two kinds of messages can appear on the message display on the control cover:
status messages and error messages.
Status messages simply inform you of the operating condition of the AMX-4+, and
look something like this.

READY FOR X-RAY

Another type of message, called an error message, may appear should a problem
occur with the equipment. An error message looks something like this.

ERROR 100
CHARGE FAULT

Note that an error message includes an alphanumeric code, and will display one
line at a time.
If an error message appears, follow these steps.
1 Try the function again. If the problem is corrected, and no error message is
displayed, proceed as usual.
2 If the error message still displays, turn the unit OFF then back ON.
• Diagnostics or self-tests are quickly performed when the unit is turned back on.
• When diagnostics are complete, the following message displays:
ERROR XXX
OCCURRED WHEN
THE UNIT WAS
LAST OPERATED --
PROCEED WITH
--- CAUTION ---

3 Now try the function once more. If the problem is corrected, and no error
message is displayed, proceed as usual.
4 If the problem persists, call your service representative, and report the code
and message shown on the display. This will prepare service for the type of
problem encountered and the service required.
On the following pages, we'll list the status messages and include a brief
explanation of each one.
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Status MessagesDescription

If this message displays, the unit is at its automatic calibration limit. A service call is
AUTO CAL LIMIT recommended to ensure accurate technique and radiographic results. Exposures
are not inhibited.
This message may appear when attempting to take a high technique exposure
BATTERY TOO HIGH
immediately after removing the unit from charge. Exposure is prevented. Operating
VOLTAGE RECOVERY IS
the field lamp or driving the AMX-4+ will assist in stabilizing the battery voltage so
REQUIRED
that the exposure may be made.
This message may appear when attempting to expose while only a few segments
BATTERY TOO LOW CHARGE
remain on the battery charge indicator. Exposure is prevented. Recharging the
REQUIRED
batteries will eliminate the message and allow exposures.
CHARGE COMPLETE The charge process is complete, and the battery is fully recharged.
CHARGING The unit is charging.
DRIVES ONLY All modes are disabled except drive. Service is required.
No exposures can be taken while this message appears (The length of the delay will
HEAT WAIT vary with the selected technique). This message displays while the tube anode is
cooling.
Displayed on the alphanumeric display any time an attempt is made to increase the
kVp MAX
kVp above 125.
Displayed on the alphanumeric display any time an attempt is made to decrease
kVp MIN
the kVp below 50.
If the field light is on for over 4 minutes, the light will be automatically turned off to
LIGHT DISABLED FOR
prevent the collimator from overheating. You may activate the field light in about 5
COOLING
minutes.
Displayed on the alphanumeric display any time an attempt is made to increase the
mAs above 320 or above the acceptable energy limit for the X-ray tube anode. The
acceptable heat limit is based on the kVp you selected. Note that the kVp setting
mAs MAX
will always take precedence over the mAs setting. That is, if the technique selected
would generate too much X-ray tube heat, the maximum mAs will automatically
decrease to permit the selected kVp.
Displayed on the alphanumeric display any time an attempt is made to decrease
mAs MIN
the mAs below 0.40.

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Status Messages Description

The prep cycle has successfully completed, and an exposure may be taken within
READY FOR X-RAY the next 30 seconds. (If an exposure is attempted after 30 seconds, the prep cycle
must be repeated.)
The estimated usable battery capacity is near 0%. No more exposures may be
RECHARGE IMMEDIATELY -
taken. Although charge is too low to complete an x-ray exam, you'll have enough
X-RAY INHIBITED
energy to drive the unit to a correctly rated wall outlet for recharge.
RECHARGE RECOMMENDED The remaining battery capacity is approximately 10% or less.
The AMX-4+ was moving faster than the drive motors allow. Release the Drive
RELEASE HANDLE Handle to clear the message, and then continue with normal operation. This may
happen if you push the AMX-4+ too hard when driving down a ramp.
The prep switch is still depressed (five seconds after an exposure or beyond the
30-second timeout). If taking an exposure, repeat the prep cycle: 1) release the prep
RELEASE PREP SW
switch, and 2) when the message WAIT is no longer displayed, press to prep position
again.
Reset the AEC controller. AEC is on, but not enabled.

For Example:
RESET AEC CNTROL The (ON) light is flashing on the Automatic Exposure Control (AEC) unit. This
indicates the paddle is not connected. Reset the AEC controller.

The red reset (GEN) on the Automatic Exposure Control (AEC) unit is lit. This indicates
the back-up time is too short. Reset the AEC controller.
Forward drive is prevented because the safety bumper is in contact with another
REVERSE ONLY
object. Reverse the unit before proceeding.
TESTING COMPLETE Power-up diagnostic testing is finished.
Wait before taking another exposure. (Displayed when the tube anode has cooled,
but before the battery has recovered from the previous exposure.) Although
WAIT
radiographs can be taken, because of low battery voltage they may not achieve the
desired kVp technique accuracy.
WAIT/ACT-XX.X After an AEC exposure the XX.X field will display the actual exposure mAs.
This message appears if an attempt to make an exposure occurs while HEAT
X-RAY DISABLED
WAIT is displayed.
X-RAY TUBE PARKED No exposures can be taken with the X-ray tube in the park/transport position.

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GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 15 om 2166913-1EN

SECTION 9
SYMBOLS

9-1 IEC Classification

In accordance with International Safety Standard IEC 601, the AMX-4+ Mobile
X-ray Unit is classified as Type B Equipment, Class I Equipment, Internally Powered
Equipment, Ordinary Equipment and continuous operation.
Type B Equipment provides an adequate degree of protection against electric
shock, in particular regarding:
• allowable leakage current,
• reliability of the protective earth connection.
In accordance with International Safety Standard IEC 601, the manufacturer is not
responsible for any consequences caused by unauthorized modification of this
equipment.
This equipment is not suitable for use in the presence of flammable gas.
There are no user replaceable parts in this unit. This would include the cord reel, as
well as any other mains or secondary part.

9-2 Earth Leakage Current

The AMX-4+ Mobile X-ray Unit complies with (Class I - Type B) standards.

9-3 Applicable IEC Symbols

Protective earth (ground). Identifies any terminal which is intended for
connection of an external protective conductor to protect against electrical shock
in case of a fault.

This symbol on the equipment means that the accompanying operating

instructions should be consulted to assure safe operation.

Dangerous voltage. Indicates an avoidable dangerous high voltage hazard.

Functional Earth (ground) Terminal. Terminal directly connected to a point of a

measuring supply or control circuit or to a screening part which is intended to be
earthed for functional purposes.

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GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 15 om 2166913-1EN

Indicates non-ionizing radiation is present.

Indicates radiographic control.

Indicates ionizing radiation is present.

X-ray emission. X-ray tube head is emitting X-rays. Take adequate precautions to
prevent the possibility of any persons carelessly, unwisely, or unknowingly
exposing themselves or others to radiation.

Battery power on. This does not apply mains voltage.

Battery power off. This does not remove mains voltage.

Indicates positioning lock or brake release.

Indicates terminal and receptacle location for hand-held radiographic and light
field control.

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GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 15 om 2166913-1EN

Control for indicating radiation field by using light.

Collimator blades closed. The controlled blades are shown in thicker lines.

Collimator blades open. The controlled blades are shown in thicker lines.

Alternating Current. Indicates equipment that is suitable for alternating current

only.

This symbol indicates that the waste of electrical and electronic equipment must
not be disposed as unsorted municipal waste and must be collected separately.
Please contact an authorized representative of the manufacturer for information
concerning the decommissioning of your equipment.

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 AMX-4+ OPERATION
GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 15 om 2166913-1EN

SECTION 10
OPTIONS

10-1 Dose Area Product (DAP) Meter

Full field ion chamber with an integral display unit. The display unit contains
electronics controlling total dose area product, system reset and system test.
• Provides easy to read real time information on patient dose.
• Allows for simple manual transcription of this information into patient records.

10-2 Mobil-AIDTM Automatic Exposure Control (AEC)

A fully integrated automatic exposure control option is available with the AMX-4+.
Mobil-AIDTM further simplifies use by automatically controlling radiographic
exposures.

10-3 Remote Control Handswitch

AMX-4+ is available with TechSwitchTM, a cordless handswitch option that enables
even greater procedural flexibility and radiation protection to the Technologist.

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GE Healthcare
REV 15
SECTION 11
ENVIRONMENTAL CONDITIONS
Table 11-1
ENVIRONMENTAL CONDITIONS
System operating environmental temperature
Storage environmental temperature
Operating ambient humidity
Non-operating ambient humidity
Operating ambient atmospheric pressure
Non-operating ambient atmospheric pressure
AMX-4+ OPERATION
(MODEL 2169360, 2236420 & 2275938 SERIES)
om 2166913-1EN
15°C to 38°C / 59°F to 100°F
-40°C to 60°C / -40°F to 140°F
10% to 80% relative humidity, non-condensing
5% to 95% relative humidity, non-condensing
106.2 kPa down to 70.0 kPa (maximum rate of change
of atmospheric pressure less than 1.8 kPa/hour)
106.2 kPa down to 50 kPa (maximum rate of change of
atmospheric pressure less than 76 kPa/hour)
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REV 15 om 2166913-1EN

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© 2012 General Electric Company. All rights reserved.
GE Medical Systems, a General Electric Company, going to market as GE Healthcare.
3000 N. Grandview Boulevard
Waukesha, Wisconsin 53188
USA

www.gehealthcare.com